Individual
TONYA ATWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 GROVE ST, HUDSON, MI 49247-1213
(517) 398-0287
(517) 306-6016
Mailing address
315 GROVE ST, HUDSON, MI 49247-1213
(517) 398-0287
(517) 306-6016
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
230015341500311
MI
3747P1801X
Personal Care Attendant
G5T2D5K7
MI
374U00000X
Home Health Aide
Primary
D8N9M3X2
MI
374U00000X
Home Health Aide
Z4B4W6D2
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223682527061414041
EFTPS INQUIRY PIN
MI
Enumeration date
05/18/2014
Last updated
05/18/2014
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